Key result
High expression of MMP-10 was significantly correlated with advanced invasion patterns and lymph node metastasis in patients with head and neck squamous cell carcinoma.
Observational (n=146)
Absolute Event Rate: 67.4% vs 18.5%
p-value: p=<0.001
MMP-10 promotes invasion and metastasis in head and neck squamous cell carcinoma, partially through p38 MAPK inhibition, and may serve as a biomarker for metastasis.
Suggests MMP-10 as potential HNSCC metastasis biomarker; hypothesis-generating and requires clinical validation.
BACKGROUND: Periostin, IFN-induced transmembrane protein 1 (IFITM1) and Wingless-type MMTV integration site family, member 5B (Wnt-5b) were previously identified as the invasion promoted genes of head and neck squamous cell carcinoma (HNSCC) by comparing the gene expression profiles between parent and a highly invasive clone. We have previously reported that Periostin and IFITM1 promoted the invasion of HNSCC cells. Here we demonstrated that Wnt-5b overexpression promoted the invasion of HNSCC cells. Moreover, stromelysin-2 (matrix metalloproteinase-10; MMP-10) was identified as a common up-regulated gene among Periostin, IFITM1 and Wnt-5b overexpressing HNSCC cells by using microarray data sets. In this study, we investigated the roles of MMP-10 in the invasion of HNSCC. METHODS AND FINDINGS: We examined the expression of MMP-10 in HNSCC cases by immunohistochemistry. High expression of MMP-10 was frequently observed and was significantly correlated with the invasiveness and metastasis in HNSCC cases. Next, we examined the roles of MMP-10 in the invasion of HNSCC cells in vitro. Ectopic overexpression of MMP-10 promoted the invasion of HNSCC cells, and knockdown of MMP-10 suppressed the invasion of HNSCC cells. Moreover, MMP-10 knockdown suppressed Periostin and Wnt-5b-promoted invasion. Interestingly, MMP-10 overexpression induced the decreased p38 activity and MMP-10 knockdown induced the increased p38 activity. In addition, treatment with a p38 inhibitor SB203580 in HNSCC cells inhibited the invasion. CONCLUSIONS: These results suggest that MMP-10 plays an important role in the invasion and metastasis of HNSCC, and that invasion driven by MMP-10 is partially associated with p38 MAPK inhibition. We suggest that MMP-10 can be used as a marker for prediction of metastasis in HNSCC.
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Deraz et al. (2011) conducted an observational in Head and neck squamous cell carcinoma (HNSCC) (n=146). High MMP-10 expression vs. Low MMP-10 expression was evaluated on Lymph node metastasis (p=<0.001). High expression of MMP-10 was significantly correlated with advanced invasion patterns and lymph node metastasis in patients with head and neck squamous cell carcinoma.
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